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NCCT Phlebotomy Tech Review Quiz
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Questions in this quiz (142)
1What is the most important venipuncture step?
- ACollecting the specimen
- BPositioning the patient
- CSelecting supplies
- DIdentifying the patient
2Which test is time-dependent?
- AGlucose
- BCholesterol
- CBilirubin
- DPotassium
3Which sterilizer is used for blood cultures?
- AAlcohol
- BLidocaine
- CBacitracin
- DChlorhexidine
4What is the most commonly used vein?
- AMedian cubital
- BCephalic
- CRadial
- DBasilic
5A hemogram is drawn in which color tube?
- ALavender top
- BGreen top
- CBlue top
- DRed top
6Why is disposable equipment used?
- ATo reduce the spread of infection
- BIt's inexpensive
- CFor variety
- DTo take up less space
7The venipuncture site is cleansed with 70% _____.
- Aiodine
- Bwater
- Cisopropyl alcohol
- Dbetadine
8Which needle has the smallest diameter?
- A20-gauge
- B23-gauge
- C18-gauge
- D21-gauge
9Which cells transport oxygen to the tissues?
- AWhite blood cells
- BRed blood cells
- CPlatelets
- DSquamous cells
10How long can a tourniquet remain on the arm?
- A1 minute
- B2 minutes
- C5 minutes
- D10 minutes
11Specimens need to be shipped in what type of container?
- AWatertight
- BPaper
- CEgg crate
- DPlastic
12Where can a patient acquire a nosocomial infection?
- AAt work
- BAt the doctor's office
- CIn the hospital
- DAt home
13Specimens used as criminal tracking evidence are called _____.
- Aprivileged
- Bprivate
- Cchain of custody
- Dbad
14The process of killing all microorganisms in an area is called ______.
- Acleaning
- Bsterilization
- Cautoclaved
- Ddisinfection
15Which body system regulates water balance and blood pH?
- AUrinary
- BCardiovascular
- CRespiratory
- DDigestive
16Which element is bound by EDTA to prevent clotting?
- ACalcium
- BPotassium
- CMagnesium
- DSodium
17Blood cultures require which samples for collection?
- Aanaerobic/aerobic
- Baerobic/saline
- CCO2/saline
- Danaerobic/CO2
18Which is not a VAD device?
- APICC line
- Bcentral venous line
- Cshunt
- Dsphygmomanometer
19What can reduce pain at the venipuncture site?
- AEMLA
- BA tighter tourniquet
- CWarm water
- DTopical antiseptic
20What site would be preferred with an open IV?
- AIn the IV tubing
- BAbove the IV
- CBelow the IV
- DIt cannot be done
21All chemical supply manufacturers must provide this with their products?
- AMaterial Safety Data Sheets (MSDS)
- BFree disposal
- CWarning signs
- DProduct pricing
22Which body system is involved with breathing?
- ARespiratory
- BNervous
- CDigestive
- DCardiovascular
23The heart is part of which body system?
- ASkeletal
- BCardiovascular
- CMuscular
- DIntegumentary
24Which national organization recently changed its name to CLSI?
- AOSHA
- BNCCLS
- CASCP
- DJCAHO
25What does QNS mean?
- ANot enough specimen
- BHard draw
- CPatient was insulting
- DTest ordered wrong
26The lab test for extrinsic function is ____.
- Apartial thromboplastin time (PTT)
- Bprothrombin time (PT)
- Cplatelet function time (PFT)
- Dlupus anticoagulation (LA)
27Which tube is used when drawing alcohol specimens?
- APlain red top
- BEDTA
- CSodium fluoride
- DSodium citrate
28Tiny clots in additive tubes are due to ______.
- Aa traumatized draw
- Bnot enough specimen
- Cinsufficient mixing
- Dcentrifuging too long
29Which has the highest occurrence in healthcare?
- AHepatitis B
- BHIV
- CHepatitis C
- DTB
30The process where an area becomes unclean is called _____.
- Asterile
- Bcontaminated
- Cprepped
- Dgood enough
31The most common nosocomial infection is ______.
- Aurinary tract
- Bdermal
- Crespiratory
- Dsurgical
32Grey tubes have which additive?
- AEDTA
- BSodium citrate
- CSodium fluoride
- DSPS
33Tubes without an additive are what color?
- ALavender top
- BBlue top
- CGreen top
- DRed top
34Skin punctures on adults are performed on which finger(s)?
- AFirst finger
- BHeel or foot
- CThird or fourth finger
- DSecond finger
35What is the most frequently used needle gauge?
- A21
- B18
- C23
- D16
36The smallest human veins are called ________.
- Acapillaries
- Barteries
- Cvenules
- Darterioles
37The smallest human arteries are called _______.
- Acapillaries
- Barteries
- Cvenules
- Darterioles
38If a hematoma starts to form, what should you do?
- AFinish drawing, not to worry
- BRelease tourniquet, remove needle, apply pressure
- CApply pressure above site
- DReposition needle
39A protime is collected in what color tube?
- ARed top
- BGreen top
- CLavender top
- DLight blue top
40AIDS stands for ______.
- Aauto immune deficiency symptom
- Bacquired immune disease state
- Cacquired immune deficiency syndrome
- Dauto inflammation disease state
41The cellular components of blood are _______.
- ARed blood cells
- BWhite blood cells
- CPlatelets
- DAll of the above
42When making blood smear slides, what angle works best?
- A5 degrees
- B10 degrees
- C30 degrees
- D90 degrees
43Which color tube needs a 9:1 ratio to be accepted by the lab?
- APlain red top - blood bank
- BLavender top - hematology
- CSST - chemistry
- DLight blue top - coagulation
44Which drawing method has the highest number of injuries?
- ATube holders
- BWinged infusion sets (butterflies)
- CEvacuated draws
- DCapillary draws
45Which protection works best for blood and skin contact?
- AGloves
- BRespirator
- CGown
- DMask
46What patient identification is a must besides name?
- ADate of birth
- BDiagnosis
- CAddress
- DSocial security number
47Which test is used for diabetes mellitus or hyperglycemia?
- AGlucose tolerance
- BHemogram
- CPotassium
- DUrinalysis
48How do you encourage bleeding on an infant heelstick?
- AAn ice pack
- BMultiple punctures
- CSqueezing hard
- DPre-warming
49If a patient needs to collect urine for 24 hours, which container would work best?
- A2 mL
- B20 mL
- C200 mL
- D2,000 mL
50Which technique works best if a patient has excessive arm hair or frail skin?
- ATie tourniquet over clothing
- BTie tourniquet tighter
- CDon't use a tourniquet
- DFind a different site
51The site of a finger stick is cleansed and ______
- Asoaped
- Bswabbed with iodine
- Callowed to dry
- DNo prep is needed
52Physician and patient visits are considered privileged, which means ________.
- Aopen to anyone
- Bnot important
- Cconfidential
- Dnot available to the patient
53Which technique will minimize aerosol contamination in the lab?
- AKeeping the centrifuge lid closed
- BKeeping doors closed
- CWearing gloves
- DOpening all windows
54Why is a 2.4 mm lancet not recommended for an infant heelstick?
- AIt can cause injury to the heel.
- BIt may not puncture deep enough.
- CIt may take multiple tries.
- DIt may require you to squeeze harder.
55Fibrin strands may be caused by _______.
- Acentrifuging at too high a speed
- Bcentrifuging too long
- Ccentrifuging before the sample has clotted
- Dcentrifuging after 2 hours
56How soon after drawing should mixing begin?
- AImmediately
- BIt's not needed
- COnce all tubes are drawn
- DAfter sitting
57Can a phlebotomist draw blood from a patient that refuses?
- ANo.
- BYes, if a doctor tells them it's okay.
- CYes, if a nurse tells them it's okay.
- DYes, there's no choice in the matter.
58A patient who stays overnight in the hospital is called a(n) _______.
- Aoutpatient
- Binpatient
- Cresident
59If you have been vaccinated for Hepatitis B, which would be your next threat?
- AHIV
- BHepatitis C
- CH1N1
- DHerpes
60Which organism can not live in human fluids?
- ABacteria
- BFungus
- CVirus
- DTicks
61Why are tourniquets used during a blood draw?
- ATo eliminate pain
- BTo locate veins
- CTo distract the patient
- DThey are not needed
62Why is protective isolation used?
- ATo protect phlebotomists
- BTo protect doctors
- CTo protect patients
- DTo protect everyone from germs
63Sterility must be used when handling _____.
- AIV supplies
- Bneedle holders
- Clab coats
- Dvenipuncture trays
64A glucose meter is used on patients with ______.
- Adiabetes mellitus
- Banemia
- Cleukemia
- Darthritis
65Which is a blood borne pathogen?
- AUrinary tract infection
- BStrep throat
- CMalaria
- DInfluenza
66Phlebotomists should check blood tubes for _____.
- Aexpiration dates
- Bfaded labels
- Cwarnings
- Dmanufacturer's name
67What do you do if a patient stops breathing while drawing blood?
- AKeep drawing
- BStop and call for help
- CDon't worry
- DShake them awake
68Which National Fire color and number indicates that a chemical is easily dispersed and will burn?
- ABlue, 2
- BRed, 4
- CWhite, 4
- DYellow, 1
69Which National Fire color and number indicates that a chemical is easily dispersed and will burn?
- ABlue, 2
- BRed, 4
- CWhite, 4
- DYellow, 1
70If a patient's bracelet and requisition do not match, what's your next step?
- AChange the paper to match the bracelet
- BDo not draw until resolved
- CAsk a nurse to identify
- DAsk the patient's roommate
71If you lower a bed rail to draw a child, what do you do before leaving the room?
- ALeave it down
- BReturn it to the upright position
- CAsk the child which position they prefer
- DDon't worry about it
72What is the first step after you perform a skin puncture?
- AWipe away the first drop
- BImmediately start collecting
- CMake a blood smear just in case
- DClean with water
73Which test must be kept warm and delivered directly to the lab?
- ACold agglutinin
- BCBC
- CBlood typing
- DBlood gases
74What is the life span of a red blood cell?
- A60 days
- B120 days
- C5 days
- D25 days
75Why do you need a feathered edge when making blood smears?
- AIt spreads the cells out to a single layer.
- BIt helps the slides dry faster.
- CIt stains better.
- DIt's not necessary.
76Why does a rubber sleeve cover one side on a multi-sample needle?
- AIt prevents blood from leaking into the holder.
- BIt makes tubes easier to push on.
- CIt decreases needle sticks.
- DIt keeps tubes from being contaminated.
77For which test does a patient need to be fasting?
- ALipid
- BHemogram
- CBlood typing
- DPotassium
78Which of these organisms serve as a reservoir host?
- AAnimals
- BHumans
- CPlants
- DAll of the above
79When additive tubes are centrifuged, what is spun to the bottom?
- AWhite blood cells
- BRed blood cells
- CPlasma
- DPlatelets
80Phlebotomists should wash their hands _____.
- Aeven if gloves are used
- Bbefore collection
- Cafter collection
- DAll of the above
81What do you do if the collection tube has blood on the outside of it?
- AWipe it down with disinfectant
- BDiscard the tube and redraw
- CPour it into a clean tube
- DDon't worry about it
82Sharps containers must have all of the following features except being _____.
- Amold proof
- Bspill proof
- Cpuncture proof
- Dtamper proof
83Squeezing the finger too hard can cause false results due to ______.
- Adilution with tissue fluid
- Bbacteria
- Ccontamination
- Dclotting
84OSHA is required to train staff for all of the following except ______.
- Aidentification errors
- Bblood-borne diseases
- Cneedle safety
- Dsharps disposal
85If a patient starts to get raised, red blotches by the tourniquet, what should the phlebotomist do?
- ATreat it as a possible latex reaction
- BIgnore it
- CContinue to draw
- DAsk the patient if they're okay
86If blood and urine specimens are lost for 2 weeks, can they still be used?
- ANo
- BOnly if you hurry
- COnly if you refrigerate overnight
- DYes, if run within 24 hours
87Which is not important when drawing a tube with an additive?
- AMixing the tube adequately
- BFilling in order
- CFilling until full
- DKeeping the tourniquet on until the last tube is filled
88Venipuncture should not be performed on a left arm if ______.
- Athere is an IV running in the left hand
- Bthere is a full-arm cast
- Cthere is a recent mastectomy
- DAll of the above
89Treating all specimens as if they are hazardous and infectious is the basis of ______.
- Auniversal precautions
- Bhazardous control
- Cpatient education
- Dgood practice
90How are slides used to make blood smears disposed of?
- ASharps container
- BRegular trash
- CSealed in biohazard waste
- DLeft out on the counter
91What post-draw technique would you not use after drawing from an ill neonate (baby)?
- ALabel tubes
- BRemove tourniquet
- CUse tape
- DNo precautions need to be taken
92A skin puncture sample is a good choice for testing when _______.
- Aveins are bruised and fragile
- Ba large amount of blood is needed
- Cmultiple tests have been ordered
- Dat any time
93The collection site is cleansed in a circular motion, starting ______.
- Acounter-clockwise
- Bfrom the center to the peripheral edge
- Cfrom the peripheral edge to the center
- Dany way
94Phlebotomists should not draw too much blood from a small baby because the baby could be in danger of _______.
- Aa bad experience
- Bbecoming anemic
- Cneeding more blood later
- DNo danger
95Which is not included in the patient bill of rights?
- APreferred nurse
- BRefusal of treatment
- CInformed consent
- DRight to know
96Where is the preferred collection site on an infant heel?
- AAnywhere
- BPosterior curve
- CMiddle of heel
- DMedial or lateral aspect
97A hemolyzed specimen can be caused by ________
- Aa traumatic venipuncture
- Bthe wrong tube being drawn
- Cfailure to mix the tube
- Dan overfilled tube
98What step should a phlebotomist take if they have a needle stick exposure?
- ADon't worry
- BTell their supervisor
- CGo home at the end of their shift
- DAsk the patient if they have anything
99What is the most important information if a patient needs a GTT?
- ANo instructions are needed
- BEat right before
- CShould be fasting for accurate results
- DNo testing is needed
100What is the first step to take when entering a patient's room?
- AIntroduce and explain
- BCheck for a tray table
- CMake sure they are sleeping
- DDon't talk
101A cholesterol (lipid) is best drawn ______.
- Aright after a big meal
- Bwhile fasting
- Cin the afternoon
- Dafter urinating
102The artery in the wrist is called the ______.
- Aradial
- Bjugular
- Cfemoral
- Dcephalic
103Which is the least appropriate for an infant venipuncture?
- AButterfly (winged infusion set)
- B15-gauge needle
- CPediatric tubes
- D3 cc syringe
104Centers for Medicare and Medicaid regulates all lab testing in the US through _____.
- AJCAHO
- BHIPAA
- CASCP
- DCLIA
105What does the lab need to know when drawing therapeutic drug levels?
- ATime of last dose
- BPatient's diagnosis
- CTime next dose is due
- DNothing
106Which additive is used in microbiology blood culture tubes?
- AEDTA
- BSPS
- CSodium citrate
- DSodium fluoride
107If a patient has 3 orders from 3 different doctors, what should the phlebotomist do?
- ADraw all of them
- BDraw them an hour apart
- CCheck for duplicate orders
- DToss out 2
108If a glucose meter is cleaned, it is important to ______.
- Acall the company and ask
- Bcheck controls
- Cdo nothing
- Dask the patient if their results are okay
109The HIPAA act requires the Department of Health and Human Services to establish national standards for _____.
- Aimproving customer services
- Belectronic healthcare transactions
- Cfood services
- Dphlebotomy uniforms
110If you need to mail a specimen, the label must include ______.
- Athe name and address of the lab
- Bwarning labels
- C"in case of leaking, send to the CDC"
- DAll of the above
111Which of these may result in a failure to collect a specimen?
- AMaking a fist
- BIf the tourniquet is too loose
- CInsufficient needle depth
- DIf the patient is taking medication
112Which of these is a globally-recognized organization that develops and oversees standards and guidelines in lab testing?
- ANCCLS
- BJCAHO
- CASCP
- DNCA
113Which blood test should be protected from the light?
- AGlucose
- BHemogram
- CBilirubin
- DPotassium
114A patient who donates blood for their own surgery is called a ______ donor.
- Atransfusion
- Bautologous
- Cblood typing
- DThis procedure is not done.
115Phlebotomists are involved in which phase of testing?
- APre-analytical
- BAnalytical
- CPost-analytical
- DNone of the above
116Why is it important to keep a log of all specimens collected?
- AFor pre-analytical QC
- BFor analytical QC
- CFor post-analytical QC
- DNo record is needed
117If a patient's sleeve is too tight to pull up, what would you do?
- ATell them to reschedule
- BOffer them a gown to change into
- CPull it up anyway
- DRefuse to draw them
118A centrifuge is used in a clinical laboratory setting to _____.
- Asort tubes of different colors
- Bstore tubes at the correct temperatures
- Cmeasure blood oxygen levels
- Dseparate liquid from the cells in the blood
119When you send blood tubes by mail in a watertight container, they should be enclosed in a _____.
- Apaper box
- Bsecond durable watertight container
- Csecured, certified mail envelope
- Dovernight envelope
120Anticoagulants are used to _____.
- Afight infection
- Bprevent blood from clotting
- Cneutralize stomach acid
- Dinhibit bacterial growth
121EMLA is a mixture of lidocaine and prilocaine that can be used to _____.
- Asterilize a venipuncture site
- Banticoagulate whole blood
- Ctopically anesthetize a draw site
- Dput a phlebotomy patient under
122When blood seeps into the surrounding tissue during a venipuncture, a _______ can form.
- Apetechiae
- Bcarbuncle
- Chematoma
- Dhemolysis
123The term that refers to right or wrong conduct is ______.
- Aempathy
- Bsympathy
- Cethics
- Drights
124The purpose of the bleeding time test is to assess ______.
- Aplatelet plug formation in the capillaries
- Bthe pressure of the blood vessels
- Celasticity in the major blood vessels
- Dthe amount of blockage in the veins
125Skin punctures may be indicated for use when ______.
- Athe patient is an infant, toddler, or preschooler
- Bonly a small amount of blood is needed
- Cthe patient's vein needs to be preserved for IV therapy
- DAll of the above
126If a biohazard spills in the laboratory, a phlebotomist should first try to ______.
- Acall a physician to the site
- Bwash his/her hands
- Ccontain the spill safely
- Dpull the fire alarm
127The federal law that expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as _____
- ACLIA
- BHIPAA
- COSHA
- DEPA
128A vein might be prone to collapse if the _______.
- Avacuum tube is too large for the vein, the syringe plunger is pulled back too quickly, the vacuum tube loses its vacuum, or the tourniquet is too tight
- Bvacuum tube is too large for the vein, the syringe plunger is pulled back too quickly, or the vacuum tube loses its vacuum
- Cthe vacuum tube loses its vacuum or the tourniquet is too tight
- Dvacuum tube is too large for the vein or the syringe plunger is pulled back too quickly
129Before entering designated isolation rooms, phlebotomists should always ______.
- Aput on masks and foot coverings
- Bput on gowns and tie them
- Ccheck requirements on signs
- Dcall a nurse or physician
130The phase of laboratory testing that refers to test orders, test collection, and test sample preparation are all part of the _____ phase.
- Aexponential
- Bpre-analytical
- Ctesting
- Dpost-prandial
131Hemolysis would cause rejection of a sample collected for _______ testing.
- Apotassium
- Bpregnancy
- Crubella
- Dpyruvate
132In performing phlebotomy on children, it is best to ____.
- Atalk softly and gently
- Benlist the help of parents
- Ctell the truth if asked
- DAll of the above
133One test often used to assess hemostasis before surgery is ____.
- Ablood culture
- Bhemoglobin
- Cplatelet count
- Dbleeding time
134The anticoagulant EDTA works by ______.
- Abinding prothrombin
- Blysis of red blood cells
- Cinactivating thrombin
- Dbinding calcium
135A tube of blood that arrives in the laboratory without a label must be _____.
- Alabeled by the phlebotomist
- Blabeled by the doctor
- Clabeled by the nurse
- Drejected automatically
136The ____ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
- Achain of command
- Bchain of custody
- Cstandard deviation
- Dcoefficient of variation
137Knowing when to collect peak and trough levels is important when drawing ______.
- Ablood cultures
- Btherapeutic drugs
- Ccortisol levels
- Destrogen levels
138An appropriate means of communicating with a patient who is profoundly hearing-impaired might include ______.
- Aignoring the patient entirely
- Btalking only to a hearing relative
- Cusing written communication
- Dtrying to speak a little louder
139If a nurse stops to ask you to draw a patient for a post-prandial glucose, what would you need to know?
- AWhen they last ate
- BIf they have showered
- CWhen they will eat next
- DIf they have therapy scheduled
140Where would be the best location option for blood collection on this patient?
- AHematoma
- BIV in hand
- CMastectomy
- D2-finger amputation - 5 years ago
141How would you confirm diabetes in a patient?
- ALipid test
- BA1C
- CPotassium
- DGlucose tolerance
142While working the lab, you pick up a pen left on the counter and place it in your mouth. What type of exposure would this be?
- AStrict
- BVector
- CContact
- DVehicle
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- Quiz on NCCT Phlebotomy Tech Review Quiz, created by jRoxy13 on 02/05/2014.
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